• Tattoo Consent

    Tattoo Consent

    Please complete and sign this entire form
  • Client Information

  • Date of Birth
     - -
  • Format: (000) 000-0000.
  • Pre-Procedure Questionnaire

  • Your Health

  • Several ailments and medications can significantly complicate the tattooing process or increase your risk of infections, poor healing, and severe allergic reactions. Because tattoos involve creating hundreds of tiny, open wounds, specific health conditions require careful consideration.Review the most impactful health conditions below:

    Immune & Autoimmune Disorders:

    Conditions like rheumatoid arthritis, lupus, or multiple sclerosis can slow your body's ability to heal and make you highly susceptible to infections. If you take immunosuppressants, biologics, or oral corticosteroids, consult your treating physician before getting inked.

    Active Skin Conditions:

    Never get a tattoo over areas with active eczema, psoriasis, or severe acne. The trauma of tattooing can trigger intense flare-ups in these areas and ruin the aesthetic of the tattoo.

    Bleeding & Blood Disorders:

    Hemophilia or conditions requiring blood thinners (such as anticoagulants) cause excessive bleeding and clotting issues. This flushes out ink, requires artists to wipe the area excessively, and prolongs healing time.

    Diabetes:

    Uncontrolled or Type 1 diabetes significantly impairs your body's circulation and wound-healing abilities. If you have diabetes, it must be stable, and you should avoid high-risk circulation areas like the ankles and feet.

    History of Keloid Scarring:

    If you are prone to developing keloids (thick, raised overgrowths of scar tissue), the puncture wounds from a tattoo can trigger a severe scarring reaction.

    Heart Conditions:

    Individuals with congenital heart disease or artificial heart valves are at a higher risk of endocarditis, making the bacterial infection risks associated with tattoos especially dangerous.

    Acute Illnesses:

    If you have an active cold, the flu, COVID-19, or a fever, you should wait. A fighting immune system should not be burdened with healing an open wound, and illness can heighten pain sensitivity.

    Medications to Note:

    Even common prescription drugs can impact your ability to get tattooed. For example:

    Antibiotics & Acne Medications can increase your skin sensitivity.Blood Thinners (e.g., warfarin) will cause you to bleed and bruise much more during the session.

  • Acknowledgement and Waiver

  • By signing the bottom of this document, I acknowledge I have been advised of the facts and matters set forth below and I agree as follows:

    • If I have diabetes, epilepsy, hepatitis, hemophilia, HIV-AIDS or any other communicable disease, heart condition or take medicine which thins the blood I have advised my tattooer.
    • I am not pregnant or nursing. I am not under the influence of alcohol or drugs.
    • I acknowledge it is not possible for the representatives and employees of this tattoo shop to determine whether I might have an allergic reaction to the pigments or processes used in my tattoo, and I agree to accept the risk that such a reaction is possible.
    • I acknowledge that infection is always possible as a result of the obtaining of a tattoo, particularly in the event that I do not take proper care of my tattoo. I agree to follow aftercare instructions while my tattoo is healing. 
    • I realize that variations in color and design may exist between any tattoo as selected by me and as ultimately applied to my body.
    • I understand that if I have any skin treatments, laser hair removal, cosmetic surgery or other skin altering procedures, it may result in changes to my tattoo.
    • I acknowledge that a tattoo is a permanent change to my appearance and do not hold my tattooer liable for or of the ability to later change or remove my tattoo. 
    • I acknowledge I am over the age of eighteen and that I have truthfully represented to my tattooer that the obtaining of a tattoo is by my choice alone. 
    • I fully understand the tattoo artist does not act as a medical professional. 
      I agree to release and discharge my artist from any and all claims, damages, or legal actions arising from or connected to my tattoo and the procedure used in the application of my tattoo.
    • Neither the Artist nor the Tattoo Studio is responsible for the meaning or spelling of the symbol or text that I have provided to them or agreed upon design.
    • Variations in colour/design may exist between the art I have selected and the actual tattoo. I also understand that over time, the colors and the clarity of my tattoo will fade due to natural dispersion of pigment under the skin.
    • I acknowledge that I have been given adequate opportunity to read and understand this document, that any and all of my questions have been answered, that it was not presented to me at the last minute, and I understand that I am signing a legal contract waiving certain rights to recover against the Artist and the Tattoo Studio.
    • I allow my tattoo to be photographed and be used by the artist and studio for promotional purposes. I waive my claim to said images.
    • I acknowledge that the Tattoo Shop does not offer refund.
    • I understand that to avoid infection or complications i must take care of the tattoo by following the instructions given to me by the Tattoo Studio.
    • I indemnify and hold harmless the Tattoo Studio and artist against any claims, expenses, damages, and liabilities.
  • Should be Empty: